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  • Evolution of PHN in The Philippines

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    Rika Mae
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    The document summarizes the evolution of public health nursing (PHN) in the Philippines from 1577 to 1986. Key events include the establishment of early medical dispensaries and vaccination programs, the creation of the Board of Health in 1901, the growth of nursing education programs and PHN roles in schools and communities, reorganizations that established PHN divisions and offices, and expansions of the PHN workforce during health system strengthening efforts.

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    The document summarizes the evolution of public health nursing (PHN) in the Philippines from 1577 to 1986. Key events include the establishment of early medical dispensaries and vaccination programs, the creation of the Board of Health in 1901, the growth of nursing education programs and PHN roles in schools and communities, reorganizations that established PHN divisions and offices, and expansions of the PHN workforce during health system strengthening efforts.

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    473 views34 pages

    Evolution of PHN in The Philippines

    Uploaded by

    Rika Mae
    The document summarizes the evolution of public health nursing (PHN) in the Philippines from 1577 to 1986. Key events include the establishment of early medical dispensaries and vaccination programs, the creation of the Board of Health in 1901, the growth of nursing education programs and PHN roles in schools and communities, reorganizations that established PHN divisions and offices, and expansions of the PHN workforce during health system strengthening efforts.

    Copyright:

    © All Rights Reserved
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    of 34

    Evolution of PHN in the

    Philippines
    History of PHN in the
    Philippines

    • 1577 – Franciscan Friar Juan Clemente opened a medical


    dispensary in Intramuros for the indigent.
    • 1690 – Dominican Fr. Juan de Pergero worked toward installing a
    water system in San Juan del Monte and Manila.
    • 1805 – Dr. Francisco Balmis introduced smallpox vaccination
    • 1876 – Appointed the first Medicos Titulares ( same as PHO)
    • 1888 – A 2 year course consisting of fundamental medical and
    dental subjects offered in UST.
    - Graduates were known as cirujanos ministrantes served as male
    nurses and sanitation inspectors
    History of PHN in the
    Philippines
    • 1901
    - Act 157 the United States Philippine Commission created the Board of Health in
    the Philippines evolved now as DOH
    • 1912
    - The Fajardo Act (Act no. 2156 ) created Sanitary Divisions made up of one to four
    municipalities.
    - Each division has a president who had to be physician
    - If no physician available male nurses were assigned to perform the duties of the
    president.
    - PGH under the Bureau of Health sent 4 nurses to Cebu to take care of mothers and
    their babies
    - St. Paul Hospital school of Nursing in Intramuros assigned two nurses to do
    homevisit in Manila to give nursing care to mothers and newborn babies from the
    outpatient OB of PGH
    History of PHN in the
    Philippines
    • 1914
    - School nursing was rendered by a nurse employed by the Bureau of Health in
    Tacloban, Leyte.
    - Reorganization Act. No. 2462 created the Office of General Inspection.
    - The office of District Nursing was organized under this office.
    - Dr. Rosario Pastor a lady physician and also a nurse
    - Two graduate Filipino nurses Mrs. Casilang Eustaquio and Mrs. Matilde Azurin were
    employed for Maternal and Child and Sanitation in Manila under an american nurse
    Mrs. G.D. Schudder.
    History of PHN in the
    Philippines

    • August 2,1916
    - Jones Law “ Philippine Autonomy Act” provided the highlight in
    the struggle of the Filipinos for Independence from American
    rule.
    - Established Philippine Senate completed an all Filipino Assembly
    that formed a Bicameral system of government ushered a major
    reorganization which culminated in Administrative Code of 1917
    (Act 2711) which included the Public Health Law of 1917
    History of PHN in the
    Philippines
    • 1916 – 1918
    - Miss Perlita Clark took charge of PHN work.
    - Staff composed of one american supervisor, one American dietician , 36 Filipino
    nurses working in the provinces and one nurse and one dietician assigned in two
    Sanitary Divisions.

    • 1917
    - Four graduate nurses paid by the City of Manila were employed to work in City
    Schools

    • 1918
    - The office of Ms. Clark was abolished due to lack for funds
    History of PHN in the
    Philippines

    • 1919
    - Miss Carmen del Rosario the first Filipino nurse supervisor
    under the Bureau of Health was appointed and was succeeded
    Miss Mabel Dabbs.
    - 84 public health nurses assigned in five health stations.
    History of PHN in the
    Philippines
    • 1923
    - Two government hospital were established to train non-
    christian women and prepare them to render service among
    their people:
    1. Zamboanga School of Nursing in Mindanao
    2. Baguio General Hospital
    - Another 4 government schools were established one in Luzon,
    Cebu, Bohol and Leyte
    History of PHN in the
    Philippines
    • July 1, 1926
    – Ms. Carmen Leogrado resigned and Ms. Genara S.
    Manongdo a ranking supervisor of the American Red Cross,
    Philippine Chapter.
    • 1927
    - The office of district nursing under the office of general
    inspection ,Philippine health service was abolished
    - Mrs. Genara de Guzman acted as consultant to the Director of
    Health on nursing matters.
    History of PHN in the
    Philippines
    • 1928
    - First convention of nurses was held followed by yearly
    convention until the advent of WWII.
    • 1930
    - PHN was converted into Section of Nursing
    - The section of Nursing was transferred from the Office of
    General Services to the Division of Administration which
    supervises and guides nurses in the provincial hospitals and 2
    govt. schools
    History of PHN in the
    Philippines
    • 1933
    - Reorganization Act no. 4007 transferred the Division of Maternal
    and Child Health of the Office of Public Welfare Commission to
    the Bureau of Health .
    - Mrs. Soledad A. Buenafe former assistant Superintendent of
    Nurses of the Public Welfare Commission was appointed as
    Assistant Chief Nurse of the Section of Nursing , Bureau of Health
    History of PHN in the
    Philippines
    • 1941
    - public health members of the Metropolitan Division, Bureau of
    Health were transferred to the new department .
    - Dr. Mariano Icasiano became the first City Health Officer of
    Manila
    - Mrs. Vicenta C. Ponce as the chief nurse
    - Mrs. Rosario A. Ordiz as assistant Chief Nurse
    History of PHN in the
    Philippines
    • December 8, 1941
    - PHN were attended to the sick and wounded during the WWII

    • 1942
    - PHN, Physicians and administrators from Manila Health Dept.
    went to the interment camp in Capas, Tarlac to receive sick
    prisoners of war by the Japanese Army
    - They were confined in San Lazaro Hospital and 68 PHN were
    assigned.
    History of PHN in the
    Philippines
    • July 1942
    - 31 Nurses were taken as prisoners by Japanese army in Bilibid
    Prison in Manila and was released by Dr. Eusebio Aguilar.
    - Many PHN joined the guerillas during the WWII
    • February 1946
    - 308 PHN and 38 supervisors post war record
    - Mrs. Genrra M. de Guzman , Technical assistant in nursing of the
    DOH snd the concurrent President of the Filipino Nurses
    Association recommended the creation of a Nursing Office in the
    DOH
    History of PHN in the
    Philippines
    • October 7, 1947
    - EO no. 94 reorganized the government offices and created the
    Division of Nursing

    • December 16, 1947


    -Mrs. Genara de Guzman was appointed as Chief of Division
    3 assistants: Ms. Annie Sand- Nursing Education
    Mrs. Magdalena C. Valenzuela – PHN
    Mrs. Patrocinio J. Montellano – Staff Education
    History of PHN in the
    Philippines
    • Bureau of Health , the Section of Nursing Supervision took over
    the functions of the former Section of Nursing
    - Mrs. Soledad Buenafe Chief
    - Mrs. Marcela Gabatin, Assistant Chief
    - The new Puericulture Center of the Bureau of Hospitals had Mrs.
    Teresa Malgabo as chief.
    History of PHN in the
    Philippines
    • 1948
    - First training Center of the Bureau of Health in cooperation with
    Pasay City Health Dept.
    - This was housed in Tabon Health Center
    - It was later renamed as Dona Marta Health Center
    - Dr. Trinidad Gomez Physician
    - Ms. Marcela Gabatin Nurse Supervisor
    - Ms. Constancia Tuazon , Mrs. Burgarin and Ms. Ramos as Nurse
    Instructors
    - Zenaida Panlilio PHN
    History of PHN in the
    Philippines
    • 1950
    - The Rural Health Demonstartion and Training Center was
    established by the DOH and was assisted by WHO and UNICEF
    - Dr. Hilario Lara – Dean
    - Dr. Amansia Mangay - Chief of RHDTC
    - Dr. Antonio N. Acosta – Medical Training Officer
    History of PHN in the
    Philippines
    • 1953
    - The office of Health education and Personnel Training were
    established.
    - Dr. Trinidad Gomez- Chief
    - 4 instructors : mrs. Cabanos, Mrs. Torrejon, Ms. Panlilio and Ms.
    Liwanag
    - The first BSN graduates from UPCN joined the Bureau of Health
    History of PHN in the
    Philippines
    • 1953
    - RA no. 1082 Rural Health Law
    - Created first 81 RHUs
    - First PHN to undergo pre-service training are :
    Ms. Florinda Ramos
    Ms. Lydia Amurao
    History of PHN in the
    Philippines
    • 1957
    -RA 1891 was approved amending RA 1082 “ Strengthening Health and
    Dental Services in the Rural Areas and Providing Funds

    • 1958 -1965
    - RA 977 passed by Congress in 1954 was implemented and the
    Division of Nursing was abolished
    - Ms. Annie Sand was appointed as Nursing Consultant under the
    Office of the Secretary of Health
    - 1961 Ms. Annie Sand founded the Department of Health National
    League of Nurses Inc. , became President and Adviser.
    History of PHN in the
    Philippines
    • 1967
    - Bureau of Disease Control Mrs. Zenaida Panlilio was appointed as
    Nursing Program Supervisor on 5 special diseases:
    ( TB, Leprosy, Venereal Diseases, Cancer, Filariasis and Mental
    Health)
    History of PHN in the
    Philippines
    • 1971
    - Mrs. Josefina A. Mendoza – Supervising Nurse Instructor Office of
    Health Education and Training
    • 1974
    - The Project Management Staff was organized as part of
    Population Loan II of the Philippine Government with Dr.
    Francisco Aguilar as Project Manager
    History of PHN in the
    Philippines

    • 1975
    - Restructuring of the HCDS based on the findings of the
    Operations research (WHO assisted)
    - MHO, PHN, RHM and Sanitary Inspector were redefined.
    - The roles of Public Health Nurse and the midwife were expanded
    - 2 thousand midwives recruited
    History of PHN in the
    Philippines

    • 1976 -1986
    - Medical and nursing graduates required to serve two months in
    the rural areas before they can get their PRC license.
    - When the nursing graduates reached over 12,000 per year the
    program was stopped
    - Pres. Ferdinand Marcos and Mrs. Josefina Mendoza repeatedly
    recommend the Bureau of Nursing but it was not materialized
    History of PHN in the
    Philippines

    • 1986
    - Reorganization of DOH
    - Mrs. Zenaida Nisce as Nursing Program Supervisor of the
    Secretary of Health and Medical Services and secretary . Task
    Force for Mental Health
    - National Family Planning Service (NFPS) :
    Liwanag, Orais, Paner, Austria and Daga and Hizon
    History of PHN in the
    Philippines
    • 1987- 1989
    - EO reorganized the DOH created several offices and services
    • 1990-1992
    - Maternal Health Services
    - Expanded Program on Immunization
    - Control of Diarrheal Diseases
    - Control of Acute Respiratory Infections
    - Non-Communicable Disease Control Service
    - Cardiovascular and Cancer Control Programs
    - Diabetes and Disabilities
    - Blindness and Deafness
    - Osteoporosis, Asthma and Smoking Control
    - Communicable Disease Control
    History of PHN in the
    Philippines

    • April 13, 1987


    - EO no. 119 “Reorganizing the Ministry of Health by Pres. Corazon
    Aquino
    - Named MOH back to DOH
    - Clustered agencies and programs under the Office for Public
    Health Services, Office for Hospital Facilities, Services, Office for
    Standards and Regulations and Office of Management Services

    rpdo2020
    History of PHN in the
    Philippines
    - Field Offices:
    a. Regional Health Offices and
    b. National Health Facilities (National Medical
    Centers, Special Research Centers and Hospital)

    rpdo2020
    History of PHN in the
    Philippines
    1998
    -Sentrong Sigla (Center for Vitality)
    - Quality assurance program certifies PHC facilities
    to comply with quality standards
    History of PHN in the
    Philippines
    • May 24, 1999
    - EO no. 102 “Redirecting the functions and operations
    of DOH by Pres. Estrada
    - Granted DOH to proceed with its Rationalization and
    Streaming Plan
    - EO no. 102 mandates DOH to provide assistance to
    LGU, people’s organization, and other members of civic
    society in implementing programs, projects and
    services to promote health among Filipinos.
    History of PHN in the
    Philippines

    • 1999 – 2004
    -Development of the Health Sector Reform Agenda which describes
    the major strategies, organizational and policy changes and public
    investments needed to improve health care delivery , regulated
    and financed.
    -Develop HSRA and F1 ensuring all Filipino especially the poor
    receive the benefits of health reform
    History of PHN in the
    Philippines

    • 2005- 2006
    - Development of a plan to rationalize the bureaucracy in an attempt
    to scale down including DOH.
    History of PHN in the
    Philippines

    • 2010-2016
    -Aquino Health Agenda (AHA)
    -June 19, 2013 (RA 10606) An Act of Amending the Health Insurance
    Act of 1995
    • 2016- 2020
    -Universal Health Care Act on March 14, 2019 by President Duterte
    - Automatically enrolled all Filipinos in the PHIC

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